<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>

<title>Dumagenol - aplicación </title>
<link rel="stylesheet" type="text/css" href="../generales/lib/ext/resources/css/ext-all.css" />
<link rel="stylesheet" type="text/css" href="../generales/lib/ext/resources/css/xtheme-gray.css" />
<script type="text/javascript" src="../generales/lib/ext/adapter/ext/ext-base.js"></script>
<script type="text/javascript" src="../generales/lib/ext/ext-all.js"></script>
<script type="text/javascript" src="modulos/mod_empleados/ext/<?php echo $ext.'.js'?>"></script>
<link rel="stylesheet" type="text/css" href="template/css/theme.css" />
<link rel="stylesheet" type="text/css" href="template/css/style.css" />
<script>
   var StyleFile = "theme" + document.cookie.charAt(6) + ".css";
   document.writeln('<link rel="stylesheet" type="text/css" href="template/css/' + StyleFile + '">');
</script>
</head>
<body>
	<div id="container">
<?php
//require_once 'template/encabezado.php';
require_once 'template/header.php';
require_once 'template/panel.php';?>
        <div id="wrapper">
            <div id="content">
                <?php echo $bi ?>
                                <div id="box">
                	<h3 id="adduser">Crear Usuario</h3>
                    <form id="form" action="..." method="post">
                      <fieldset id="personal">
                        <legend>PERSONAL INFORMATION</legend>
                        <label for="lastname">Last name : </label>
                        <input name="lastname" id="lastname" type="text" tabindex="1" />
                        <br />
                        <label for="firstname">First name : </label>
                        <input name="firstname" id="firstname" type="text"
                        tabindex="2" />
                        <br />
                        <label for="email">Email : </label>
                        <input name="email" id="email" type="text"
                        tabindex="2" />
                        <br />
                        <p>Send auto generated password
                            <input name="generatepass" id="yes" type="checkbox"
                        value="yes" tabindex="35" /></p>
                        <label for="pass">Password : </label>
                        <input name="pass" id="pass" type="password"
                        tabindex="2" />
                        <br />
                        <label for="pass-2">Password : </label>
                        <input name="pass-2" id="pass-2" type="password"
                        tabindex="2" />
                        <br />
                      </fieldset>
                      <fieldset id="address">
                        <legend>Address</legend>
                        <label for="street">Street address : </label>
                        <input name="street" id="street" type="text"
                        tabindex="1" />
                        <br />
                        <label for="city">City : </label>
                        <input name="city" id="city" type="text"
                        tabindex="2" />
                        <br />
                        <label for="country">Country : </label>
                        <input name="country" id="country" type="text"
                        tabindex="1" />
                        <br />
                        <label for="state">State/Province : </label>
                        <input name="state" id="state" type="text"
                        tabindex="2" />
                        <br />
                        <label for="zip">Zip/Postal Code : </label>
                        <input name="zip" id="zip" type="text"
                        tabindex="2" />
                        <br />
                        <label for="tel">Telephone : </label>
                        <input name="tel" id="tel" type="text"
                        tabindex="2" />
                      </fieldset>
                      <fieldset id="opt">
                        <legend>OPTIONS</legend>
                        <label for="choice">Group : </label>
                        <select name="choice">
                          <option selected="selected" label="none" value="none">
                          General
                          </option>
                          <optgroup label="Group 1">
                            <option label="cg1a" value="val_1a">Selection group 1a
                            </option>
                            <option label="cg1b" value="val_1b">Selection group 1b
                            </option>
                            <option label="cg1c" value="val_1c">Selection group 1c
                            </option>
                          </optgroup>
                          <optgroup label="Group 2">
                            <option label="cg2a" value="val_2a">Selection group 2a
                            </option>
                            <option label="cg2b" value="val_2a">Selection group 2b
                            </option>
                          </optgroup>
                          <optgroup label="Group 3">
                            <option label="cg3a" value="val_3a">Selection group 3a
                            </option>
                            <option label="cg3a" value="val_3a">Selection group 3b
                            </option>
                          </optgroup>
                        </select>
                      </fieldset>
                      <div align="center">
                      <input id="button1" type="submit" value="Send" />
                      <input id="button2" type="reset" />
                      </div>
                    </form>

                </div>
            </div>
            
<?
require_once 'template/menu.php';
require_once 'template/footer.php';
?>
